围绝经期烘热症的中医药研究进展
|
摘要
烘热症是围绝经期综合征最突出最典型的症状,其频繁发作影响女性的正常生活和工作,并易引起多种并发症,因此烘热症的有效防治已成为当今医学界的重要研究之一。本文结合古医籍对围绝经期烘热症的病因病机及治法的认识,对该症的现代文献研究进行梳理和分型归纳。病机上,本症以肾虚为本,并与阴阳失调、气血失和、代谢异常和奇经病变关系密切;治疗上,在注重滋阴补肾的同时,根据不同病机采取调理阴阳、调和气血、清热祛湿、调治奇经等方法。
The hot flush is the most prominent and typical symptom of perimenopausal syndrome. Frequent episodes of this disease affect women's normal life and work, which also lead to various complications. Therefore, effective prevention and treatment method has been urgently needed in current medical field. Combining with the etiology, pathogenesis and treatment content in ancient Chinese medical literature, modern literatures related hot flush are reviewed and classified in this study. For pathogenesis, the disease is mainly caused by kidney deficiency, and also closely related with disharmony of Yin and Yang, disorder of qi and blood, metabolic abnormalities and extra meridian lesion. For treatment, invigorating kidney and nourishing Yin should be paid attention. Simultaneously, different treatment methods, such as regulating yin and yang, harmonizing Qi and blood, clearing heat and removing dampness or regulating meridians are applied according to different pathogenesis.
The hot flush is the most prominent and typical symptom of perimenopausal syndrome. Frequent episodes of this disease affect women's normal life and work, which also lead to various complications. Therefore, effective prevention and treatment method has been urgently needed in current medical field. Combining with the etiology, pathogenesis and treatment content in ancient Chinese medical literature, modern literatures related hot flush are reviewed and classified in this study. For pathogenesis, the disease is mainly caused by kidney deficiency, and also closely related with disharmony of Yin and Yang, disorder of qi and blood, metabolic abnormalities and extra meridian lesion. For treatment, invigorating kidney and nourishing Yin should be paid attention. Simultaneously, different treatment methods, such as regulating yin and yang, harmonizing Qi and blood, clearing heat and removing dampness or regulating meridians are applied according to different pathogenesis.
引文
[1] 夏叶,高秀梅,付姝菲,等.更年期潮热从阳论治探微[J].上海中医药杂志,2011,45(5):13-16.
[2] 陈俊.三联疗法治疗女性更年期潮热汗出35例临床观察[J].湖北中医杂志,2014,36(9):52-53.
[3] WILLIAMS RE,KALILANI L,DIBENEDETTI DB,et al.Frequency and severity of vasomotor symptoms among peri- and postmenopausal women in the United States.Climacteric:the journal of the International Menopause Society,2011,11(1):32-43.
[4] 艾菊青,毛浩萍,樊官伟,等.对绝经前后诸证辨证论治的再认识[J].世界科学技术-中医药现代化,2017,19(2):295-299.
[5] 张伯臾,董建华,周仲瑛.中医内科学[M].上海:上海科学技术出版社,1985:276.
[6] BORUD E,WHITE A.A review of acupuncture for menopausal problem [J].Maturitas,2010,66(2):131-1340.
[7] 巢元方.诸病源候论[M].北京:人民军医出版社,2006.
[8] 邓颖.滋肾汤治疗更年期潮热汗出50例[J].陕西中医,2004,25(5):406-407.
[9] 李慧,姜群群.刘瑞芬教授治疗围绝经期烘热汗出临床经验[J].浙江中医药大学学报,2013,37(7):873-874.
[10] 夏桂成.中医妇科理论与实践[M].北京:人民卫生出版社,2003:285-286.
[11] 褚玉霞.对更年期综合征的认识和辨治[J].河南中医,1998,18(4):11-12.
[12] 张秉成.成方便读[M].北京:中国中医药出版社,2002.
[13] 李云慧.桂枝汤治疗女性更年期综合征37例[J].河北中医,2000,22(3):192-193.
[14] 李用粹.证治汇补[M].北京:中国中医药出版社,2005.
[15] 余庆.脾胃阴火与更年期综合征[J].福建中医学院学报,1999,9(3):34-36.
[16] 屈振挺,王峰.补中益气汤治疗颜面烘热症[J].河南中医,1990,10(1):28.
[17] 李佶,倪爽,戴煜婷,等.“更年宁心颗粒”治疗围绝经期综合征随机双盲双模拟临床研究[J].江苏中医药,2016,48(2):46-48.
[18] 王清任.医林改错[M].北京:人民卫生出版社,1991.
[19] 乔连厚.浅谈更年期烘热从瘀辨治[J].山西中医,1991,7(5):47.
[20] 傅淑平,张荣华,蔡宇,等.从肾虚血瘀论治更年期综合征[J].陕西中医,2005,26(5):435-436.
[21] 李义方,熊超.从肾虚挟瘀论治更年期综合征[J].吉林中医药,1998,24(3):29.
[22] 崔振波,杨太银.桂枝汤加味治疗更年期烘热症40例[J].安徽中医临床杂志,2003,15(6):478.
[23] 刘亚玲,王加维.王加维治疗围绝经期综合征经验[J].中医杂志,2011,52(6):524-525.
[24] 王叔和.脉经[M].北京:人民卫生出版社,1982.
[25] 王晓萍.从奇经论治妇女更年期综合征[J].中国医药学报,1995,10(4):43-45.
[26] 宋卓敏.更年期综合征的辨治[J].天津中医学院学报,1998,17(3):13.
[27] 李晓玲,方光平,李峻辉.妇女更年期综合征从湿热论治体会(附56例临床分析)[J].云南中医中药杂志,2001,22(3):18-19.
[28] 王健康.蒿芩清胆汤治疗妇女更年期头面烘热症30例[J].光明中医,2001,16(2):36-37.
[29] 桑海莉,桑雨廷.补肾滋阴法治疗绝经综合征潮热58例[J].辽宁中医杂志,2014,41(5):962-965.
[30] 孙巧云,江风美,隋瑞云.养阴清热汤治疗更年期多汗60例[J].中国民间疗法,2004,12(3):48-49.
[31] 马大正.镇肝息风汤加减治疗潮热汗出为主的更年期综合征32例临床观察[J].浙江中医学院学报,1998,22(6):35.
[32] 张锡纯.医学衷中参西录[M].北京:中国医药科技出版社,2011.
[33] 李种泰.穴位埋线治疗妇女更年期潮热汗出[J].时珍国医国药,2006,17(12):2634.
[34] 张盛之.中药敷脐治疗妇女更年期潮热汗出[J].中国针灸,2001,21(11):30.
[35] 王大增,李燕萍,朱燕青.清心平肝法治疗更年期综合征[J].中医杂志,1989,30(1):30.
[36] 连华敏.小柴胡汤在妇科疾病中的应用[J].河南中医,2003,23(11):8.
[37] 戚翠萍.活血化瘀法治疗更年期综合症疗效观察[J].黑龙江中医药,2002,45(4):17.
[38] 王勇,高妍妍.活血化瘀法治疗更年期综合征临床观察[J].北京中医,2001,36(5):60.
[39] 陈小玲.更年期综合征论治[J].暨南大学学报:自然科学与医学版,1998(4):105-106.
[2] 陈俊.三联疗法治疗女性更年期潮热汗出35例临床观察[J].湖北中医杂志,2014,36(9):52-53.
[3] WILLIAMS RE,KALILANI L,DIBENEDETTI DB,et al.Frequency and severity of vasomotor symptoms among peri- and postmenopausal women in the United States.Climacteric:the journal of the International Menopause Society,2011,11(1):32-43.
[4] 艾菊青,毛浩萍,樊官伟,等.对绝经前后诸证辨证论治的再认识[J].世界科学技术-中医药现代化,2017,19(2):295-299.
[5] 张伯臾,董建华,周仲瑛.中医内科学[M].上海:上海科学技术出版社,1985:276.
[6] BORUD E,WHITE A.A review of acupuncture for menopausal problem [J].Maturitas,2010,66(2):131-1340.
[7] 巢元方.诸病源候论[M].北京:人民军医出版社,2006.
[8] 邓颖.滋肾汤治疗更年期潮热汗出50例[J].陕西中医,2004,25(5):406-407.
[9] 李慧,姜群群.刘瑞芬教授治疗围绝经期烘热汗出临床经验[J].浙江中医药大学学报,2013,37(7):873-874.
[10] 夏桂成.中医妇科理论与实践[M].北京:人民卫生出版社,2003:285-286.
[11] 褚玉霞.对更年期综合征的认识和辨治[J].河南中医,1998,18(4):11-12.
[12] 张秉成.成方便读[M].北京:中国中医药出版社,2002.
[13] 李云慧.桂枝汤治疗女性更年期综合征37例[J].河北中医,2000,22(3):192-193.
[14] 李用粹.证治汇补[M].北京:中国中医药出版社,2005.
[15] 余庆.脾胃阴火与更年期综合征[J].福建中医学院学报,1999,9(3):34-36.
[16] 屈振挺,王峰.补中益气汤治疗颜面烘热症[J].河南中医,1990,10(1):28.
[17] 李佶,倪爽,戴煜婷,等.“更年宁心颗粒”治疗围绝经期综合征随机双盲双模拟临床研究[J].江苏中医药,2016,48(2):46-48.
[18] 王清任.医林改错[M].北京:人民卫生出版社,1991.
[19] 乔连厚.浅谈更年期烘热从瘀辨治[J].山西中医,1991,7(5):47.
[20] 傅淑平,张荣华,蔡宇,等.从肾虚血瘀论治更年期综合征[J].陕西中医,2005,26(5):435-436.
[21] 李义方,熊超.从肾虚挟瘀论治更年期综合征[J].吉林中医药,1998,24(3):29.
[22] 崔振波,杨太银.桂枝汤加味治疗更年期烘热症40例[J].安徽中医临床杂志,2003,15(6):478.
[23] 刘亚玲,王加维.王加维治疗围绝经期综合征经验[J].中医杂志,2011,52(6):524-525.
[24] 王叔和.脉经[M].北京:人民卫生出版社,1982.
[25] 王晓萍.从奇经论治妇女更年期综合征[J].中国医药学报,1995,10(4):43-45.
[26] 宋卓敏.更年期综合征的辨治[J].天津中医学院学报,1998,17(3):13.
[27] 李晓玲,方光平,李峻辉.妇女更年期综合征从湿热论治体会(附56例临床分析)[J].云南中医中药杂志,2001,22(3):18-19.
[28] 王健康.蒿芩清胆汤治疗妇女更年期头面烘热症30例[J].光明中医,2001,16(2):36-37.
[29] 桑海莉,桑雨廷.补肾滋阴法治疗绝经综合征潮热58例[J].辽宁中医杂志,2014,41(5):962-965.
[30] 孙巧云,江风美,隋瑞云.养阴清热汤治疗更年期多汗60例[J].中国民间疗法,2004,12(3):48-49.
[31] 马大正.镇肝息风汤加减治疗潮热汗出为主的更年期综合征32例临床观察[J].浙江中医学院学报,1998,22(6):35.
[32] 张锡纯.医学衷中参西录[M].北京:中国医药科技出版社,2011.
[33] 李种泰.穴位埋线治疗妇女更年期潮热汗出[J].时珍国医国药,2006,17(12):2634.
[34] 张盛之.中药敷脐治疗妇女更年期潮热汗出[J].中国针灸,2001,21(11):30.
[35] 王大增,李燕萍,朱燕青.清心平肝法治疗更年期综合征[J].中医杂志,1989,30(1):30.
[36] 连华敏.小柴胡汤在妇科疾病中的应用[J].河南中医,2003,23(11):8.
[37] 戚翠萍.活血化瘀法治疗更年期综合症疗效观察[J].黑龙江中医药,2002,45(4):17.
[38] 王勇,高妍妍.活血化瘀法治疗更年期综合征临床观察[J].北京中医,2001,36(5):60.
[39] 陈小玲.更年期综合征论治[J].暨南大学学报:自然科学与医学版,1998(4):105-106.